オカザキ　ケン   OKAZAKI Ken   岡崎　賢    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Clinical Outcomes of Fiber-Tape Flexible Fixation for Chronic Lisfranc Injuries.
掲載誌名	正式名：Foot & ankle orthopaedics 略　 称：Foot Ankle Orthop ISSNコード：24730114/24730114
掲載区分	国外
巻・号・頁	10(4),pp.24730114251388428
著者・共著者	Kensei Yoshimoto, Mitsuki Kumaki, Takumi Koseki, Masahiko Noguchi, Ayako Tominaga, Ken Okazaki
担当区分	最終著者
発行年月	2025/10
概要	BACKGROUND:The optimal surgical procedures for chronic Lisfranc injuries are controversial. This study aimed to demonstrate the clinical outcomes of fiber tape fixation for chronic Lisfranc injuries under early full weightbearing protocols.METHODS:This study included 11 feet from 10 patients who underwent fiber tape fixation for chronic Lisfranc injuries (undiagnosed for more than 6 weeks from injuries). All patients were allowed full weightbearing with normal shoes 4 weeks after the surgery. Clinical outcomes were evaluated with the Self-Administered Foot Evaluation Questionnaire. Radiographic outcomes were evaluated with a first cuneiform (C1)-second metatarsal (M2) distance from weightbearing anteroposterior plain foot radiography.RESULTS:The median follow-up period was 12 months (IQR, 12-16). The median C1-M2 distance improved significantly from 3.3 mm (IQR, 2.9-5.2) to 1.6 mm (IQR, 1.5-2.2). The pain, physical functioning, social functioning, shoe-related, and general health subscales of SAFE-Q improved significantly after the surgery, whereas the sports subscale did not reach statistical significance (P = .063). Five patients, who regularly participated in sports activities, were able to return to their preinjury sport level by 12 months. There were no complications, such as infection, nerve or tendon injuries, or hardware-related discomfort, in the entire cohort.CONCLUSION:The fiber tape fixation device under early full weightbearing protocols led to short-term improvements in pain, function, and radiographic stability for chronic Lisfranc injuries, with no observed complications.LEVEL OF EVIDENCE:Level IV, case series.
DOI	10.1177/24730114251388428
PMID	41209071